A 31-year-old woman presents to the clinic for her annual influenza vaccine. She reports that she would also like to receive a tetanus, diphtheria, and acellular pertussis (Tdap) booster today. She is currently 29 weeks pregnant but otherwise has no medical history and takes no prescription medications. What would be the most appropriate action? Administer […]

why would this patient be in ringers lactate? Age:85 Diagnosis: Weight Loss NYD, Anemia, Metastatic Renal Failure History: The patient was losing weight and feeling very dehydrated. Living Arrangements: The patient lives alone with family assistance. Previous Medical History: Left frontal/occipital cortical hypodensities, Stroke, Hypertension, Dyslipidemia, Type 2 Diabetes, Query BPH, Paroxysmal Atrial Fibrillation (Stress […]

A 76-year-old woman presents to the clinic with difficulty walking. She describes having a high-stepping and stamping gait that has progressively worsened over the past year. She also reports frequent falls and a feeling of unsteadiness when standing with her eyes closed. Her history is significant for type 2 diabetes mellitus well controlled on metformin. […]

A 55-year-old male is referred to an outpatient cardiology clinic for management of his cholesterol. The patient’s physical exam is significant for obesity, with a body mass index (BMI) of 33.4 kg/m2. The patient reports he has never discussed his weight with a healthcare provider. Which is the best initial approach for counseling this patient […]

A 45-year-old man with diabetes mellitus presents to your clinic for the first time. Which one of the following vaccines is recommended for him if he has not previously received it? Hepatitis A Hepatitis B Meningococcal Respiratory syncytial virus vaccine Varicella-zoster

Subjective Data: Objective Data: Condom/briefs/colostomy: Briefs Other factors affecting elimination (anxiety, depression, pain…) Patient receiving ringer lactate 1000ml running 75 ml/h. Patient has only 300ml of urine output in 10 hrs. Age:85 Diagnosis: Weight Loss NYD, Anemia, Metastatic Renal Failure History: The patient was losing weight and feeling very dehydrated. Living Arrangements: The patient lives […]

An 84-year-old man presents to the clinic as a new patient and for his annual physical. Prior to seeing the patient, the clinician reviews the patient’s chart and his current medication list. Currently, the patient is prescribed 13 medications. After reviewing the patient’s history, the clinician is concerned about the excretion of the different medications. […]

Need to Eliminate Condom/briefs/colostomy: Briefs Other factors affecting elimination (anxiety, depression, pain…) Patient receiving ringer lactate 1000ml running 75 ml/h. Patient has only 300ml of urine output in 10 hrs. Subjective Data: Complaints of feeling dehydrated and losing weight. Reports on limited urine output. Potential symptoms related to his medical condition like fatigue, weakness, dizziness, […]

Need to Eliminate (anxiety, depression, pain…) Patient receiving ringer lactate 1000ml running 75 ml/h. Patient has only 300ml of urine output in 10 hrs. Subjective Data: Complaints of feeling dehydrated and losing weight. Reports on limited urine output. Potential symptoms related to his medical condition like fatigue, weakness, dizziness, short of breath, and pain. Objective […]

To foster holistic learning through intentional teaching, it is important to encourage curiosity as a part of learning and initiate inquiry. How can you support and initiate the inquiry process? Provide four (4) examples.